Healthcare Provider Details

I. General information

NPI: 1114681665
Provider Name (Legal Business Name): REMEDY HEALTH AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 SE 17TH ST STE 119
FORT LAUDERDALE FL
33316-1736
US

IV. Provider business mailing address

1515 SE 17TH ST STE 119
FORT LAUDERDALE FL
33316-1736
US

V. Phone/Fax

Practice location:
  • Phone: 954-369-5880
  • Fax:
Mailing address:
  • Phone: 954-369-5880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JARROD WILSON
Title or Position: MD
Credential: MD
Phone: 954-369-5880